Name(First,Last) : ___________________________ Tel.: _________ Fax.: _________ Street : ___________________________ Cust. # _________ Zipcode + City : ___________________________ Date: _________ JDS - Software Vertrieb Tel.: 0049-(0)4451-959195 Jens Driese Fax.: 0049-(0)4451-959196 Abt. SpeedProject Internet: www.jds-software.com Postfach 1269 E-Mail: bestell@jds-software.com D-26302 Varel/Germany Order: Quan. Product Price Total ----------------------------------------------------------------------- ____ SpeedCommander 7 (Win95/98/NT/2000) 79,00 DM (~40 US$) = _____ DM Shipping & Handling: ( ) Int'l Mail + 15,00 DM (~7.50 US$) = _____ DM Total amount to pay = _____ DM Please note that we can accept only prepaid orders from outside Germany. We accept Eurocheques in DM, cash in DM and US$, and VISA, DINERS, EURO MASTER and AMEX credit cards. Credit Card # :___________________________ Exp. Date:___________ Name on Credit Card :_________________________________________________ Credit Card : ( ) VISA ( ) DINERS ( ) EURO ( ) MASTER ( ) AMEX ___________________ Signature